Court-ordered coverage, like a child support order—you need one of these:
- Court order that shows the effective date
- Medical support order
- Foster care papers dated and signed by a court official
Death of policyholder—you need both of these:
- Death certificate or public notice of death, and
- Proof of prior qualifying health coverage within the last 60 days
Discharged from military—you need one of these:
- Dated copy of your military discharge papers, or
- Certificate of Release that shows the coverage end date
Divorce or legal separation—you need both of these:
- Divorce or annulment papers that show the ending of health care responsibility, and
- Proof of prior qualifying health coverage within the last 60 days
Loss of government coverage
If you were on Medicaid, you need one of these:
- Documentation from Michigan Department of Health and Human Services indicating the reason for loss and when coverage ended or will end
- Letter from Medicaid or Children's Health Insurance Plan (CHIP) stating when coverage ended or will end
For other programs like Medicare, TRICARE, AmeriCorps or Peace Corps, you’ll need a letter or notice that shows the coverage end date.
Released from prison:
- Document from the Department of Corrections, jail or prison that shows your order of parole, order of release, or an address certification
Student coverage ended:
- Letter from college or university showing the coverage end date
Events related to the Marketplace
You’ll need documentation from the Health Insurance Marketplace or state-based exchange showing determination of eligibility and date for the following:
- Newly eligible for Premium Tax Credit
- Materials violation of the plan contract
- Unintentional, inadvertent or erroneous enrollment